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Most of the reference centers for PAS in Latin America attend to a small number of cases each year, and almost all of these hospitals identify opportunities to improve the management or approach for PAS in women.The study aimed to investigate the effects of time-of-day, chronotype, and **** differences on the relationships between anxiety, depression, sleep quality, and swimming performance of normally diurnally active adolescent athletes. Thirty-three competitive swimmers, 20 boys (14.8 ± 1.60 y) and 13 girls (14.4 ± 1.51 y) from two differ